Assisting with micturition
- 0Jun 10, '07 by mobilmedicI have a question for you: is it appropriate for a nurse (CNA or higher), while assisting a male patient with a urinal, or standing up to urinate, to hold the patient's penis for him, especially if he so requests it? It should be noted that many men ask for this due to paruria (i.e., a male may not be able to void for psychological reasons unless he is assisted in micturition).
And it is standard practice to do this when collecting a midstream catch when the patient is in bed.Last edit by sirI on Jun 10, '07
- 0Jun 10, '07 by DutchgirlRNQuote from mobilmedicFirstly nurse is LPN or higher. I don't think it is appropriate to hold the patients penis and most especially not appropriate if he requests it. If a man cannot void for psychological reasons he needs to discuss that with his shrink or urologist.I have a question for you: is it appropriate for a nurse (CNA or higher), while assisting a male patient with a urinal, or standing up to urinate, to hold the patient's penis for him, especially if he so requests it? It should be noted that many men ask for this due to paruria (i.e., a male may not be able to void for psychological reasons unless he is assisted in micturition).
And it is standard practice to do this when collecting a midstream catch when the patient is in bed.
I have taken a urinal and placed around the penis and held it in place to keep the patient from voiding outside the urinal. Some fresh post op patients and some elderly require help but I don't recall any specifically asking for that kind of help, especially not holding it.Last edit by DutchgirlRN on Jun 10, '07
- 0Jun 10, '07 by TazziRNIf he can stand, even with assistance, he can probably hold it himself. If he's in bed and unable to, I have placed the penis in the urinal opening and if needed with hold it in place so that the stream is aimed in the urinal. But to hold it because of psychological reasons? No way!!
- 0Jun 10, '07 by woohQuote from RizpahWhen I did grown-ups, it's funny how easy it was to "cure" the men that had to have help with it by simply sending in a male staff member to help.We have a couple of gentlemen like that, always wanting help, especially from the "young" staff - though this guy states he's blind! yah right!
- 0Jun 10, '07 by confused101I have put the urinal where it needs to be in the bed or helping a pt. stand up. Some men say they can't pee in the bed and have to stand up. No big deal. I hate when men expose themselves for the sake of doing it. I have put the penis in the urinals in the bed for the little old sick men. It's either that or clean the bed every time.
- 0Jun 11, '07 by IndyI've met male patients who can't hold it themselves. I'll assist in those cases, and I'll wish they had a foley. I bathed a man during clinicals whose hands were so badly deformed from arthritis that he couldn't hold a washrag. He was aware of his odd situation and talked to me about church; I figured yeah, anything to not talk about the bath.
One guy with hemiparesis and chronic UTI's normally used a condom cath. Now I'll tell you it is flat out impossible to put one on with one hand and have the darn thing stay on. Thank god I read allnurses or it wouldn't have occurred to me to use skin prep. Very nice guy, he did the holding and told me what to do so the stupid thing would stay in place and we wouldn't have to keep changing his bed. His situation was one that had him tied in all sorts of psychological knots, and I pity him. He felt sorry for me by the time I got done trying to figure out how to fiddle with the thing; especially when I broke down and laughed and said, "ok really I haven't tried to do this in ages." It's possible to find humor even in embarrassing things.
Then there are the parkinson's patients who use their steady hand to hold onto the walker and the shakey hand to hold the urinal, and pee all over the floor rather than ask for help. Honestly, I've cleaned enough floors that I almost wish they'd ask.